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Laryngeal carcinoma metastasis to the orbit: case report.

Galm, T and Kulkarni, A and Ahmad, I (2011) Laryngeal carcinoma metastasis to the orbit: case report. The Journal of laryngology and otology, 125 (5). pp. 533-5. ISSN 1748-5460. This article is accessible to all HEFT staff and students via NHS Evidence www.evidence.nhs.uk by using their HEFT Athens login IDs

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Abstract

OBJECTIVE

We present the first report in the all English literature of a case of laryngeal squamous cell carcinoma metastasis to the orbit.

METHOD

Case report of orbital metastasis from laryngeal carcinoma; clinical, radiological and pathological findings are discussed.

RESULT

A 75-year-old man presented to the ENT department with a five-week history of left orbital pain, swelling and reduced vision. Past medical history included laryngectomy, bilateral neck dissection and post-operative radiotherapy for T4 N2c M0 squamous cell carcinoma of the supraglottis, 10 months earlier. Imaging showed an orbital mass extending along the roof and lateral aspect of the orbit into the optic canal and superior orbital fissure, and further posteriorly into the left cavernous sinus with meningeal enhancement in the left anterior cranial fossa. Histopathological analysis after biopsy showed the mass to be consistent with metastatic poorly differentiated squamous cell carcinoma.

CONCLUSION

After searching the all English literature, we report what is, to our best knowledge, the first case of laryngeal carcinoma metastasis to the orbit. Despite its rarity and poor prognosis, such a metastasis should be considered as part of the differential diagnosis of an orbital mass, as timely recognition can improve the patient's quality of life.

Item Type: Article
Additional Information: This article is accessible to all HEFT staff and students via NHS Evidence www.evidence.nhs.uk by using their HEFT Athens login IDs
Subjects: WV Otorhinolaryngology. ENT medicine
Divisions: Ambulatory Care > ENT
Related URLs:
Depositing User: Mr Philip O'Reilly
Date Deposited: 25 Jun 2014 14:04
Last Modified: 25 Jun 2014 14:04
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/311

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